Organization · Type 2 NPI
Pamela O Black Md, P.a., dba Quadra Health Institute
Medical Physician Assistant · Albuquerque, NM
NPI number
1336543115
Active
Practice location
3820 Commons Ave NE # M
Albuquerque, NM 87109-5831
Mailing address
PO Box 25206
Albuquerque, NM 87125-0206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA2014-0059 (NM) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Albuquerque
About NPI 1336543115
Pamela O Black Md, P.a., dba Quadra Health Institute's National Provider Identifier is 1336543115, issued on Oct 22, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Albuquerque, NM. The record was last updated on Oct 22, 2014.